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1376992966
JACQUELINE WAWA
TACOMA, WA
NPI
1376992966
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WA LP00052959)
Enumeration Date
2016-06-06
Last Update Date
2016-06-06
Business Address
-- JACQUELINE WAWA
9040 JACKSON AVE
TACOMA, WA 98431-1100
Phone number: 253-968-3208
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Mailing Address
-- JACQUELINE WAWA
9040 JACKSON AVE
TACOMA, WA 98431-1100
Phone number: 253-968-3208
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